Nuts and Bolts of Videonystagmography

Videonystagmography (VNG) is a study used to clinically evaluate patients with dizziness, vertigo, or balance dysfunction. The vestibular system monitors the position and movements of the head to stabilize retinal images. This information is integrated with the visual system and spinal afferents in the brain stem to produce the vestibulo-ocular reflex (VOR). VNG provides an objective assessment of the oculomotor and vestibular systems.

Essentially, the standard VNG test battery consists of 3 parts: oculomotor evaluation, positioning/positional testing, and caloric stimulation of the vestibular system. The comparison of results obtained from various subtests of VNG assists in determining whether a disorder is central or peripheral. In peripheral vestibular disorders, the side of lesion can be inferred from the results of caloric stimulation and, to some degree, from positional findings.

Two ears are better than one……..

When two hearing aids are used, two ears are listening so less power is needed. With two ears amplified, one can achieve greater efficiency and better clarity as well as hear people on both sides instead of just one. Listening from both ears gives us stereo listening, resulting in deeper sound quality and better localization- the ability to locate where a sound is coming from, whether it’s a car, a plane or another person. We don’t actually hear in our ears. Does that amaze you? We “hear” in our brain, which processes the inputs from both of our ears simultaneously. The synthesis of this input is what we recognize as hearing. The tiny differences in the signals that the two ears transmit to the brain enable us to determine the location of the car, potentially a life saving ability.

Vertigo

Benign paroxysmal positional vertigo (BPPV) is one of the most common causes of vertigo — the sudden sensation that you’re spinning or that your head is spinning inside. BPPV is characterized by brief episodes of mild to intense dizziness. Symptoms are triggered by specific changes in the position of your head, such as tipping your head up or down, and by lying down, turning over or sitting up in bed. You may also feel out of balance when standing or walking.

The Canalith Repositioning Treatment is often the choice of treatment for BPPV which involves a series of head movements. The goal is to move the crystals out of the semicircular canals and back into the otolith organs. If you have symptoms of a “spinning sensation” with body or head movement, it is important for you to be evaluated to see if your diagnosis is BPPV.

Lyric 24/7

Lyric Hearing is the breakthrough you have been waiting for.  It is the first and only 100% invisible, extended wear hearing solution.  Unlike a traditional daily wear hearing aid, Lyric is worn 24 hours a day, 7 days a week, for up to 4 months.

With no surgery or anesthesia needed, the device is placed by a Lyric trained professional completely inside of your ear canal, where it uses the ear’s natural anatomy to minimize background noise and provide clear, natural sound quality. 

Lyric can be worn during your daily activities-such as sleeping, showering, exercising, using headphones and talking on the phone.  There are no batteries to change, no maintenance is needed and no daily insertion is required.